Imperial College London
Alternate

Heather Ward

Faculty of Medicine, School of Public Health

Honorary Research Fellow
 
 
 
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Contact

 

+44 (0)20 7594 5081heather.ward

 
 
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Location

 

150Norfolk PlaceSt Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Deschasaux:2020:10.1136/bmj.m3173,
author = {Deschasaux, M and Huybrechts, I and Julia, C and Hercberg, S and Egnell, M and Srour, B and Kesse-Guyot, E and Latino-Martel, P and Biessy, C and Casagrande, C and Murphy, N and Jenab, M and Ward, HA and Weiderpass, E and Overvad, K and Tjønneland, A and Rostgaard-Hansen, AL and Boutron-Ruault, M-C and Mancini, FR and Mahamat-Saleh, Y and Kühn, T and Katzke, V and Bergmann, MM and Schulze, MB and Trichopoulou, A and Karakatsani, A and Peppa, E and Masala, G and Agnoli, C and De, Magistris MS and Tumino, R and Sacerdote, C and Boer, JM and Verschuren, WM and van, der Schouw YT and Skeie, G and Braaten, T and Redondo, ML and Agudo, A and Petrova, D and Colorado-Yohar, SM and Barricarte, A and Amiano, P and Sonestedt, E and Ericson, U and Otten, J and Sundström, B and Wareham, NJ and Forouhi, NG and Vineis, P and Tsilidis, KK and Knuppel, A and Papier, K and Ferrari, P and Riboli, E and Gunter, MJ and Touvier, M},
doi = {10.1136/bmj.m3173},
journal = {BMJ},
pages = {1--13},
title = {Association between nutritional profiles of foods underlying Nutri-Score front-of-pack labels and mortality: EPIC cohort study in 10 European countries.},
url = {http://dx.doi.org/10.1136/bmj.m3173},
volume = {370},
year = {2020}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - OBJECTIVE: To determine if the Food Standards Agency nutrient profiling system (FSAm-NPS), which grades the nutritional quality of food products and is used to derive the Nutri-Score front-of-packet label to guide consumers towards healthier food choices, is associated with mortality. DESIGN: Population based cohort study. SETTING: European Prospective Investigation into Cancer and Nutrition (EPIC) cohort from 23 centres in 10 European countries. PARTICIPANTS: 521 324 adults; at recruitment, country specific and validated dietary questionnaires were used to assess their usual dietary intakes. A FSAm-NPS score was calculated for each food item per 100 g content of energy, sugars, saturated fatty acids, sodium, fibre, and protein, and of fruit, vegetables, legumes, and nuts. The FSAm-NPS dietary index was calculated for each participant as an energy weighted mean of the FSAm-NPS score of all foods consumed. The higher the score the lower the overall nutritional quality of the diet. MAIN OUTCOME MEASURE: Associations between the FSAm-NPS dietary index score and mortality, assessed using multivariable adjusted Cox proportional hazards regression models. RESULTS: After exclusions, 501 594 adults (median follow-up 17.2 years, 8 162 730 person years) were included in the analyses. Those with a higher FSAm-NPS dietary index score (highest versus lowest fifth) showed an increased risk of all cause mortality (n=53 112 events from non-external causes; hazard ratio 1.07, 95% confidence interval 1.03 to 1.10, P<0.001 for trend) and mortality from cancer (1.08, 1.03 to 1.13, P<0.001 for trend) and diseases of the circulatory (1.04, 0.98 to 1.11, P=0.06 for trend), respiratory (1.39, 1.22 to 1.59, P<0.001), and digestive (1.22, 1.02 to 1.45, P=0.03 for trend) systems. The age standardised absolute rates for all cause mortality per 10 000 persons over 10 years were 760 (men=1237; women=563) for those in the highest fifth of the FSA
AU  - Deschasaux,M
AU  - Huybrechts,I
AU  - Julia,C
AU  - Hercberg,S
AU  - Egnell,M
AU  - Srour,B
AU  - Kesse-Guyot,E
AU  - Latino-Martel,P
AU  - Biessy,C
AU  - Casagrande,C
AU  - Murphy,N
AU  - Jenab,M
AU  - Ward,HA
AU  - Weiderpass,E
AU  - Overvad,K
AU  - Tjønneland,A
AU  - Rostgaard-Hansen,AL
AU  - Boutron-Ruault,M-C
AU  - Mancini,FR
AU  - Mahamat-Saleh,Y
AU  - Kühn,T
AU  - Katzke,V
AU  - Bergmann,MM
AU  - Schulze,MB
AU  - Trichopoulou,A
AU  - Karakatsani,A
AU  - Peppa,E
AU  - Masala,G
AU  - Agnoli,C
AU  - De,Magistris MS
AU  - Tumino,R
AU  - Sacerdote,C
AU  - Boer,JM
AU  - Verschuren,WM
AU  - van,der Schouw YT
AU  - Skeie,G
AU  - Braaten,T
AU  - Redondo,ML
AU  - Agudo,A
AU  - Petrova,D
AU  - Colorado-Yohar,SM
AU  - Barricarte,A
AU  - Amiano,P
AU  - Sonestedt,E
AU  - Ericson,U
AU  - Otten,J
AU  - Sundström,B
AU  - Wareham,NJ
AU  - Forouhi,NG
AU  - Vineis,P
AU  - Tsilidis,KK
AU  - Knuppel,A
AU  - Papier,K
AU  - Ferrari,P
AU  - Riboli,E
AU  - Gunter,MJ
AU  - Touvier,M
DO  - 10.1136/bmj.m3173
EP  - 13
PY  - 2020///
SN  - 1759-2151
SP  - 1
TI  - Association between nutritional profiles of foods underlying Nutri-Score front-of-pack labels and mortality: EPIC cohort study in 10 European countries.
T2  - BMJ
UR  - http://dx.doi.org/10.1136/bmj.m3173
UR  - https://www.ncbi.nlm.nih.gov/pubmed/32938660
UR  - https://www.bmj.com/content/370/bmj.m3173
UR  - http://hdl.handle.net/10044/1/83015
VL  - 370
ER  -
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